Provider Demographics
NPI:1649388547
Name:SCHWARTZ, CARLA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:ANN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6401 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4341
Mailing Address - Country:US
Mailing Address - Phone:763-572-5710
Mailing Address - Fax:763-571-3008
Practice Address - Street 1:6341 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-4946
Practice Address - Country:US
Practice Address - Phone:763-572-5710
Practice Address - Fax:763-586-5888
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN43791207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1844041OtherAMERICA'S PPO
MNHP38923OtherHEALTHPARTNERS
MN1034445OtherPREFERRED ONE
MN7682488OtherAETNA INS
MN171823OtherUCARE MN
MN0113560OtherMEDICA
MN6605865OtherMEDICA URGENT CARE
MN512453100Medicaid
MN575S4SCOtherBCBS OF MN
MNHP38923OtherHEALTHPARTNERS
MN575S4SCOtherBCBS OF MN
MNH42238Medicare UPIN